Are we overusing of crash c-section procedure?

作者：Bloc F; Dupuis O; Massardier J; Gaucherand P; Doret M^*

来源：Journal de Gynecologie Obstetrique et Biologie de la Reproduction, 2010, 39(2): 133-138.

DOI：10.1016/j.jgyn.2009.12.006

• Cesarean
• Emergency
• Red code
• Color code
• Clinical audit

Objectives. "Colour code" was implemented in our labour and delivery room to facilitate communication between the different actors of emergency c-sections and, more specifically, to reduce the decision to delivery interval in crash c-sections called "red code". This study aims at evaluating "red colour" c-sections rate, emergency level and decision to delivery interval.
Patients and methods. Over a six-months-period, all "red code" c-sections have been independently reviewed by four experimented obstetricians, including two external from the department. For each c-section, they had to confirm or reject the indication for "red code" c-section. Decision to delivery interval was also collected.
Results. Thirty-eight "red code" c-sections were performed representing 2.3% of all deliveries and 9.1 % of all c-sections. "Red code" c-section indications have been confirmed in 12 cases and rejected in 13 cases. Opinions were discordant in the 13 others cases. Mean decision to delivery interval was 10.8 minutes.
Conclusion. In our department, defining emergency level by "colour code" is associated with a short decision to delivery interval in crash c-sections but also with a trivialization of this high-risk procedure. Indications should be restricted to avoid unjustified maternal and foetal complications.

• 出版日期2010-4